Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Kelly, PA-C

Individual provider Physician Assistant · NPI 1750353710

Timothy Kelly, PA-C is a Physician Assistant in Lewiston, Maine. Qualified in 2003, 23 years ago. Practices with Internal Medical Associates-Ebnhc, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
23
Licensed in
ME
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Main St
Lewiston, ME 04240-7007
Phone: (207) 795-2641
Fax: (207) 753-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Gove Street, Boston, ME 02132 — (617) 569-5800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-815 (ME)

Record details

NPI number1750353710
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJanuary 21, 2026
Certification dateJanuary 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Internal Medical Associates-Ebnhc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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